| NPI | 1861760241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE R BAUER Social Worker 219-512-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34004895A) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |